Corneal changes in Pseudoexfoliative eyes

Abstract

Aim: To look for corneal changes in Pseudoexfoliative eyes and its resulting clinical implication. Methods: This prospective study carried out at JSS Hospital, Mysore consisted of 100 consecutive patients with Pseudoexfoliation who presented to the outpatient department between January 2015 to December 2015. A detailed Ocular evaluation was done. Corneal changes were noted. Central corneal thickness was measured using ultrasound pachymetry Results: Male to Female ratio was nearly 3:2. 20 patients had pterygium in one or both eyes. The mean tear film break up time was 13.85 seconds. Mean Central corneal thickness in Pseudoexfoliation with glaucoma eyes (502.7± 12.82 µ) was found to be lower when compared with Mean Central corneal thickness in Pseudoexfoliation without glaucoma eyes (518.36±13.21 µ) and this was found to be statistically significant . Conclusion: Climatically induced changes like pterygium, climatic droplet keratopathy are seen in Pseudoexfoliative eyes probably due to common etiology. Evaluation of central corneal thickness is necessary in all patients with Pseudoexfoliative glaucoma due to thinner cornea and the risk of underestimation of intra ocular pressure.